Organization Active NPI

Thomas J. Carzoli, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1770611782
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
THOMAS J. CARZOLI, M.D., P.A.
Practice address
1301 Taylor Street
Suite 5K
Columbia, SC 29201-2950
Phone
(803) 765-2090
Fax
(803) 765-0580
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas James Carzoli, M.D.
Title
Practice Owner
Phone
(803) 765-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1301 Taylor Street
Suite 5K
Columbia, SC 29201-2950

Mailing address

1301 Taylor Street
Suite 5K
Columbia, SC 29201-2950
Phone (803) 765-2090

Other identifiers 1

IdentifierTypeStateIssuer
090074MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Thomas J Carzoli MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1770611782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR STREET",
            "address_2": "SUITE 5K",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012950",
            "telephone_number": "803-765-2090",
            "fax_number": "803-765-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR STREET",
            "address_2": "SUITE 5K",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012950",
            "telephone_number": "803-765-2090",
            "fax_number": "803-765-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. CARZOLI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "CARZOLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "803-765-2090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090074",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.